ACLS Certification Practical Application Practice Test Results

Question 1
60% answer correctly
You are evaluating a patient with a 15-minute duration of chest pain during transportation to the emergency department. He is receiving oxygen, and 2 sublingual nitroglycerin tablets have relieved his chest discomfort. He has no complaints but appears anxious. BP is 130/70 mm Hg. You observe the above rhythm on the monitor and your next action is:
initiate transcutaneous pacing (TCP)
start epinephrine 2 to 10 ụg/kg per minute and titrate
administer nitroglycerine 0.4 mg SL
continue monitoring patient, prepare for TCP
give atropine 0.5 mg IV
Question 2
65% answer correctly
A patient in the ED develops recurrent chest discomfort (8/10) suspicious for ischemia. His monitored rhythm becomes irregular as seen above. Oxygen is being administered by NC at 4 L/min and an IV line is patent. Bp is 160/96. There are no allergies or contraindications to any meds. You would first order:
lidocaine 1 mg/kg and infusion 2 mg/min
Amiodarone 150 mg IV
Morphine sulfate 2-4 mg IV
Nitroglycerin 0.4 mg SL
IV nitroglycerine initiated at 10 ụg/min and titrated
Question 3
86% answer correctly
You arrive on the scene to find CPR in progress. Nursing staff report that the patient was recovering from a pulmonary embolism and suddenly collapsed. There is no pulse or spontaneous respirations. High-quality CPR is in progress and effective ventilation is being provided with bag-mask. An IV has been initiated. You would now:
Give epinephrine 1.0 mg IV
Order immediate endotracheal intubation
Initiate transcutaneous pacing
Give atropine 0.5 mg IV
Give atropine 1 mg IV